50% are onset at birth, affects about 1 in 20 Indians
From zero, India's budget for rare diseases has surged
to Rs 82 crore within three years, said Dr L Swasticharan from the Union
Ministry of Health and Family Welfare (MoH&FW) on Tuesday.
Rare diseases are
conditions with fewer than 100 patients per 100,000 people in the population.
While over 350 million people worldwide are affected, about 1 in 20 Indians is
affected.
The Additional DDG with the Directorate
General of Health Services (DGHS), Swasticharan, said the government has also
established a rare disease fund to support the patients’ treatment.
“In 2022–23, we
supported 203 patients to the tune of Rs 35 crore, a big leap from zero funds
three years ago. In 2023–24, the amount rose to Rs 74 crore. In the current
fiscal, a Rs 82.4 crore budget has been assigned, out of which Rs 34.2 crore
has already been disbursed,” Swasticharan said.
He added, “However, we realise that even this may not
be sufficient as we do not want to leave any patient behind.”
Swasticharan said
this while speaking at SMArtCon2024, a two-day National Conference on Spinal
Muscular Atrophy (SMA) organised by India’s non-profit Cure SMA Foundation in
Gurugram.
He noted the Health
Ministry was “actively considering establishing a specialised technical expert
group focussing on SMA.”
SMA is a rare and
genetically inherited neuromuscular disease that robs people of physical
strength by affecting motor nerve cells in the spinal cord.
Swasticharan said,
“Called Tech MSA, the Group will advise centres of excellence on rare diseases
spread across the country on what needs to be done regarding SMA and provide
technical inputs. If we can successfully solve the challenge of SMA, the same
model can be replicated for other rare diseases in the country.”
He also called for a
“synergy between the government and the medical community to address the
challenge of rare diseases in India.”
“We have a national
policy for rare diseases and a mechanism to include more ‘orphan' diseases in the
list. The medical community must come forward and help the government identify
priority diseases for attention and treatment, as funds are limited. We need to
make drugs available and affordable for all patients,” he said.
He noted the
government was also “focussing on indigenous research and production,
supportive therapy, and CSR funding.”
“We are requesting
pharma companies to provide funds to set up specialised clinics for rare
diseases where patients can go for treatment,” the expert noted.
There are more than 7,000 rare diseases known or
reported worldwide. About 80 percent are genetic in origin; 50 per cent are
onset at birth, and the rest are late onset.
Rare diseases include
inherited cancers, autoimmune disorders, congenital malformations, and
infectious diseases, among others.
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